NCG020882_MONITORING INFO_20200113

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U& ba b� a
DOC TYPE
❑ HISTORICAL FILE
CY MONITORING REPORTS
DOC DATE
❑ ODDO O I
YYYYM M DD

DOC TYPE ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 1 ❑
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2019
'Report ALL STORMWATER monitoring data on this form (include 'No FlovJPNo Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 0882
Facility Name: Mill Creek Sand and Gravel Mine (Blue Water Sand and Gravel)
County: Johnston
Phone Number: ( 336 1 584-1745 Total no. of SDOs monitored 1
Certified Laboratory Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outtall was in Tier 2 last year, was morrthly monitoring discontinued? NIRECE IVE D
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ JAN 18 t020
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DWR SECTION
Outhall No. 1
,
Total
Rainfall,
inches
TSS,
mg/l
SS,
mUl
Turbidit
y, NTU
Upstream
(U)
Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non Polar
O&G, M911
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
szarND
cb '
100/5
0.1
"da
5 25/1
0
NIA
W" Qm "
emtlmdaW"'
N!A
M/OrQuaft
sMa^^+^o
15
'6G pi hm
*w im
Date Sample
mted
�oadlyr'
'
No Flow
vermn vase wnrzuiti — sisafzuzu
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0882
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Requ
Signs
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct— Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/112015 — 9/30/2020
Last Revised 10-24015